Widi, Gabriel Antonio

Widi, Gabriel Antonio is an sole proprietor health care provider with primary practice located at 777 E 25Th St Suite 308, Hialeah FL 33013-3825. He recently has only one registered license in Allopathic & Osteopathic Physicians / Neurological Surgery, which is considered as his primary health care specialty. Widi, Gabriel Antonio can be contacted via phone (786) 534-7751.

Contact Information

Primary practice address
777 E 25Th St Suite 308 Hialeah FL 33013-3825
Phone: (786) 534-7751
Fax: (844) 361-9351
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Neurological Surgery 207T00000X ME122876 Florida

Profile Details

NPI number 1639342926
LBN Legal business name Widi, Gabriel Antonio
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 8th, 2008
Last updated Jan 22nd, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1639342926 NPPES
Florida Other ME122876 MEDICAL LICENSE

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